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General NPI Number Information
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NPI Number | 1043370307
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Entity Type | Organization
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Legal Business Name | SCOTT A BROWN, D.C. P.A
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Dates
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Enumeration Date | 12/09/2006
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 1297 CLEMENTS BRIDGE RD
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City | WOODBURY
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State | NJ
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Zip | 08096-3001
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Country | US
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Telephone | 856-848-4442
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Fax | 856-848-1836
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Provider Business Mailing Address
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Address Line | 1297 CLEMENTS BRIDGE RD
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City | DEPTFORD
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State | NJ
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Zip | 08096-3001
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Country | US
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Telephone | 856-848-4442
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Fax | 856-848-1836
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | SCOTT A BROWN
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Credential | D.C.
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Telephone | 856-848-4442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3499
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License Number State | NJ
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